Austin Central Park Pediatric Dentistry is a Pediatric Dental Clinic in Austin, Texas. It is located at 1005 W 38th St Ste 200, Austin, TX and its contact number is 512-330-4624. The authorized person for Austin Central Park Pediatric Dentistry is Dr. Daniel Crandall Johnson
who is Owner/dentist of the clinic and their contact number is 512-330-4624. The primary license number for Austin Central Park Pediatric Dentistry is 28784 (Pediatric Dentistry) in Texas.
Austin Central Park Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Austin Central Park Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Austin Central Park Pediatric Dentistry |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 1005 W 38th St Ste 200, Austin,
Texas, 78705-1042 |
| Phone: | 512-330-4624 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Daniel Crandall Johnson |
| Position: | Owner/dentist |
| Contact Number: | 512-330-4624 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Austin Central Park Pediatric Dentistry clinic are as mentioned below.
| NPI Number: | 1639597222 |
| NPI Enumeration Date: | 01 Apr, 2014 |
| NPI Last Update On: | 21 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Austin Central Park Pediatric Dentistry are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 28784 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1619250123 | Other | | Individual Npi |
| 3194185-03 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Austin Central Park Pediatric Dentistry
1005 W 38th St Ste 200,
Austin, Texas |
| Zip: | 78705-1042 |
| Phone Number: | 512-330-4624 |
Patients can reach Austin Central Park Pediatric Dentistry at
1005 W 38th St Ste 200, Austin, Texas or can
call to book an appointment on 512-330-4624.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.